Evidence map›Paper›PMID 35061129›Full record

ArticleSurgical case reports2022

Salvage surgery following immuno-chemo-radiotherapy for advanced non-small cell lung cancer.

Ayako Nawashiro, Fumihiro Tanaka, Akihiro Taira, Shinji Shinohara, Masaru Takenaka, Koji Kuroda, Shohei Shimajiri

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ayako NawashiroSecond Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan.
Fumihiro TanakaSecond Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan. ftanaka@med.uoeh-u.ac.jp.ORCID http://orcid.org/0000-0003-4692-6151
Akihiro TairaSecond Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan.
Shinji ShinoharaSecond Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan.
Masaru TakenakaSecond Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan.
Koji KurodaSecond Department of Surgery, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan.
Shohei ShimajiriDepartment of Pathology, School of Medicine, University of Occupational and Environmental Health, Iseigaoka 1-1, Yahata-nishi, Kitakyushu, 807-8555, Japan.
University of Occupational and Environmental Health Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSalvage surgery following definitive radiotherapy or systemic treatment has become a feasible treatment option in selected patients with advanced initially unresectable non-small cell lung cancer. Recent clinical trials of neoadjuvant treatment have showed that surgery following immuno-chemotherapy is safely performed. Here, we present the first case of salvage surgery following immuno-chemotherapy with concurrent definitive radiotherapy for advanced lung large cell carcinoma. CASE PRESENTATION: A 44-year male was admitted to our hospital for salvage surgery. Ten months prior to this administration, he had been diagnosed with unresectable large cell carcinoma with malignant pericardial effusion (clinical stage IVA/T3N2M1A; no driver-gene alteration) originating from the right upper lobe (RUL). Due to rapid intrabronchial tumor growth causing severe dyspnea, emergency bronchial stenting in the right main bronchus using an expandable metallic stent had been performed. Thereafter, he had received immuno-chemotherapy with concurrent definitive radiotherapy. Despite dramatic radiographic response, he had suffered from persistent and refractory Pseudomonas aeruginosa lung infection associated with bronchial stent placement. As pericardial effusion had disappeared and no distant metastasis had developed, he was diagnosed with a potentially curable disease and was referred to our hospital. An extended sleeve resection was successfully performed, and pathological sections revealed that pathologic complete response was achieved with immuno-chemo-radiotherapy. The patient received no subsequent treatment, and is alive without tumor recurrence at 8 months after surgery.

conclusionsSalvage surgery following immuno-chemotherapy with concurrent definitive radiotherapy for advanced non-small cell lung cancer may be feasible in selected patients, and may be considered as a treatment option to control local disease.

Indexed as

ChemotherapyImmunotherapyLung cancerRadiotherapySalvage surgery

Identifiers

PMID35061129
PMCPMC8782972
OpenAlexW4205257526

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.